NIRAV N SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065412

License Status

CANCELLED

Business

Title

First Name

NIRAV

Middle

Last Name

SHAH

Business Name

NIRAV N SHAH MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pain Medicine

Ever Disciplined

LastModifiedDate

02/15/2017